Provider Information for 1891557328
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Dr. MICHAEL LEVITTAN Ph.D.
Sex: Male
NPI: 1891557328
Last Updated: 2024-01-29
Certification Date: 2024-01-29
Certification Date: 2024-01-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1891557328 | ||||||||
| Enumeration Date | 2024-01-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11980 SAN VICENTE BLVD STE 709 LOS ANGELES, CA 90049-6606 United States Phone: 310-820-4111 | Fax: | ||||||||
| Primary Practice Address | 11980 SAN VICENTE BLVD STE 709 LOS ANGELES, CA 90049-6606 United States Phone: 310-820-4111 | Fax: | ||||||||
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